Physician
Simon Lee M D a Professional Corp
Simon Lee M D a Professional Corp was paid $505K by Medicaid between Jan 2018 and Nov 2024, across 65 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoSIMON LEE M D A PROFESSIONAL CORP
SAN FRANCISCO, CA 94108
SAN FRANCISCO, CA 94108
33aNPI1194748541assigned 07/26/2006
33bProvider typeInternal Medicine Physician
28Total paid$505K
24GClaims36,910
24DCodes billed65
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#236 of 2,679
Median peer was paid$13K
This provider vs. median40×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,273 | $20K | |
| 2019 | 4,704 | $27K | |
| 2020 | 5,242 | $30K | |
| 2021 | 6,097 | $81K | |
| 2022 | 5,138 | $76K | |
| 2023 | 5,739 | $119K | |
| 2024incomplete | 6,717 | $153K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 57% | 17,745 | 14,443 | $287K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 18% | 3,213 | 3,027 | $89K |
| 99483 | Prolong outpt/office vis | 13% | 1,202 | 1,193 | $63K |
| 99490 | Ccm add 20min | 3.9% | 1,105 | 1,103 | $20K |
| 99454 | 3.3% | 690 | 662 | $17K | |
| 99497 | 2.2% | 689 | 680 | $11K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 862 | 715 | $3K |
| 90756 | <1% | 230 | 230 | $2K | |
| 90688 | <1% | 361 | 360 | $2K | |
| 99439 | <1% | 98 | 98 | $1K | |
| 90658 | <1% | 84 | 84 | $1K | |
| 91320 | <1% | 86 | 85 | $1K |
53 more codes
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 743 | $1K |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 193 | $914.55 |
| 90653 | <1% | 41 | $813.11 | |
| 99429 | <1% | 54 | $725.00 | |
| 0134A | <1% | 59 | $564.00 | |
| 90694 | <1% | 130 | $351.13 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 621 | $304.19 |
| 90662 | <1% | 50 | $284.08 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 34 | $263.01 |
| 90686 | <1% | 319 | $167.94 | |
| 0124A | <1% | 20 | $158.68 | |
| 90480 | <1% | 60 | $98.73 | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 37 | $82.86 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 1,560 | $59.59 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 455 | $51.22 |
| G0008 | Administration of influenza virus vaccine | <1% | 955 | $18.00 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 55 | $7.01 |
| 3016F | 0% | 536 | $0.00 | |
| 1160F | 0% | 754 | $0.00 | |
| 1158F | 0% | 427 | $0.00 | |
| 1159F | 0% | 702 | $0.00 | |
| 4004F | 0% | 120 | $0.00 | |
| 3078F | 0% | 140 | $0.00 | |
| 1124F | 0% | 130 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 22 | $0.00 |
| 90670 | 0% | 30 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 37 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 23 | $0.00 |
| 4040F | 0% | 18 | $0.00 | |
| 91313 | 0% | 45 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 14 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 17 | $0.00 |
| 3096F | 0% | 12 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 20 | $0.00 |
| 2022F | 0% | 12 | $0.00 | |
| 3077F | 0% | 14 | $0.00 | |
| 3074F | 0% | 267 | $0.00 | |
| 1157F | 0% | 226 | $0.00 | |
| 3017F | 0% | 119 | $0.00 | |
| 1170F | 0% | 163 | $0.00 | |
| 3008F | 0% | 366 | $0.00 | |
| 1101F | 0% | 102 | $0.00 | |
| 3080F | 0% | 240 | $0.00 | |
| 3075F | 0% | 16 | $0.00 | |
| 1126F | 0% | 35 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 193 | $0.00 |
| 3066F | 0% | 12 | $0.00 | |
| 3061F | 0% | 107 | $0.00 | |
| 3014F | 0% | 26 | $0.00 | |
| 1125F | 0% | 120 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 41 | $0.00 |
| 4010F | 0% | 30 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 23 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLEE, SIMON (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Simon Lee Dental | Clearlake, CA | $92K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.